Hypertensive emergencies in Asia: A brief review

Praew Kotruchin, Thanat Tangpaisarn, Thapanawong Mitsungnern, Apichard Sukonthasarn, Satoshi Hoshide, Yuda Turana, Saulat Siddique, Peera Buranakitjaroen, Minh Van Huynh, Yook Chin Chia, Sungha Park, Chen Huan Chen, Jennifer Nailes, Jam Chin Tay, Ji Guang Wang, Kazuomi Kario*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Hypertensive emergency is one of the most challenging conditions to treat in the emergency department (ED). From previous studies, about 1%–3% of hypertensive individuals experienced hypertensive emergencies. Its prevalence varied by country and region throughout Asia. Asian populations have more different biological and cultural backgrounds than Caucasians and even within Asian countries. However, there is a scarcity of research on clinical features, treatment, and outcomes in multinational Asian populations. The authors aimed to review the current evidence about epidemiology, clinical characteristics and outcomes, and practice guidelines in Asia. Five observational studies and nine clinical practice guidelines across Asia were reviewed. The prevalence of hypertensive emergencies ranged from.1% to 1.5%. Stroke was the most common target organ involvement in Asians who presented with hypertensive emergencies. Although most hypertensive emergency patients required hospitalization, the mortality rate was low. Given the current lack of data among Asian countries, a multinational data repository and Asian guidelines on hypertensive emergency management are mandatory.

Original languageEnglish
Pages (from-to)1226-1235
Number of pages10
JournalJournal of Clinical Hypertension
Volume24
Issue number9
DOIs
StatePublished - Sep 2022

Keywords

  • Asia
  • emergency
  • hypertension
  • hypertensive crisis

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